SOUTH MOUNTAIN HOLISTIC CARE NPI 1770038564

NPI Information

SOUTH MOUNTAIN HOLISTIC CARE is an intermediate care facility mental illness in Laveen, AZ. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. SOUTH MOUNTAIN HOLISTIC CARE NPI is 1770038564. The provider is registered as an organization entity type.

The provider's business location address is:

3219 W OLNEY AVE
LAVEEN, AZ
ZIP 85339-783
Phone: (602) 565-5909

The provider's authorized official is Stephanie Lynn Brigham .
The authorized official title is Executive Director and has the following contact phone number (602) 565-5909.

The enumeration date for this NPI number is 8/22/2016 and was last updated on 8/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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